本文關(guān)鍵詞： 心腎不交型失眠 臍針療法 療效觀察　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:通過用臍針療法治療心腎不交型失眠患者,評估其中醫(yī)證候積分和匹茲堡睡眠質(zhì)量指數(shù)量表(PSQI)評分,觀察其臨床療效,為針灸治療失眠提供一種新的臨床思路和治療方法。方法:將符合納入標(biāo)準(zhǔn)的60例患者按照隨機(jī)數(shù)字表分配法分為治療組與對照組,每組各為30例。治療組予針刺肚臍離位、坎位和常規(guī)針刺;對照組予常規(guī)針刺。治療療程為每周治療3次,每次30分鐘,1周為一個(gè)療程,連續(xù)治療3個(gè)療程。療程結(jié)束后分別評估治療組和對照組治療前后的中醫(yī)證候積分、匹茲堡睡眠質(zhì)量指數(shù)量表(PSQI)評分,再做統(tǒng)計(jì)學(xué)分析與處理。結(jié)果:(1)臨床療效方面:臍針加常規(guī)針刺組治愈5例,顯效14例,有效10例,無效1例,總有效率為96.67%。常規(guī)針刺組治愈1例,13例顯效,7例有效,無效9例�？傆行蕿�70.00%。治療組與對照組兩組療效比較,經(jīng)稚和檢驗(yàn),差異有統(tǒng)計(jì)學(xué)意義(P0.05),顯示治療組的總有效率高于對照組。(2)PSQI評分方面:經(jīng)治療三個(gè)療程后,兩組患者的失眠癥狀均有所好轉(zhuǎn),PSQI評分明顯下降,三個(gè)療程結(jié)束后兩組的PSQI總評分分別為5.07±1.41、8.33±1.56,治療組與對照組相比,主要在患者入睡時(shí)間、睡眠質(zhì)量、睡眠時(shí)間、睡眠障礙、日間功能障礙、睡眠效率方面差異有統(tǒng)計(jì)學(xué)意義。通過治療前后兩組差值進(jìn)行比較,提示差異均無統(tǒng)計(jì)學(xué)意義(P0.05);表明臍針組和常規(guī)針刺組對于心腎不交型失眠患者均有改善,但兩組改善相當(dāng)。(3)中醫(yī)證候積分方面:經(jīng)治療三個(gè)療程后,兩組患者在中醫(yī)證候方面均有好轉(zhuǎn),中醫(yī)證候積分均較前下降,治療第三個(gè)療程后,兩組中醫(yī)證候積分分別為4.47±1.81、7.07±1.82。治療組較對照組中醫(yī)證候方面主要表現(xiàn)在多夢、心煩、健忘、神疲乏力、頭暈頭痛、口干津少等方面差異具有統(tǒng)計(jì)學(xué)意義。治療組與對照組治療前后自身比較,差異均有顯著統(tǒng)計(jì)學(xué)意義(P0.01);表明臍針加常規(guī)針刺組在改善患者多夢、心煩、健忘、神疲乏力、頭暈頭痛、口干津少等方面效果更好。以上結(jié)果表明,臍針加常規(guī)針刺對于治療心腎不交型失眠患者效果較好,且效果優(yōu)于常規(guī)針刺療法。結(jié)論:臍針和常規(guī)針刺兩種方法均能有效改善心腎不交型失眠患者的癥狀,且臍針加常規(guī)針刺組療效優(yōu)于常規(guī)針刺組。相比較常規(guī)針刺而言,臍針在改善失眠患者的睡眠質(zhì)量、入睡時(shí)間、睡眠時(shí)間、睡眠效率、睡眠障礙、日間功能障礙、多夢、心煩、健忘、口干津少、神疲乏力、頭暈頭痛等方面效果更好。
[Abstract]:Objective: to evaluate the scores of TCM syndromes and Pittsburgh Sleep quality Index (PSQI) in the treatment of insomnia patients with heart and kidney disjunction by using umbilical needle therapy, and to observe the clinical efficacy. Methods: 60 patients with insomnia were divided into treatment group (n = 30) and control group (n = 30). The control group was treated with routine acupuncture. The course of treatment was 3 times a week for 30 minutes and 1 week for a course of treatment. After the treatment, the TCM syndromes score, Pittsburgh Sleep quality Index scale and PSQI score were evaluated before and after treatment in the treatment group and the control group, respectively. Results in the clinical curative effect, 5 cases were cured, 14 cases were markedly effective, 10 cases were effective, 1 case was ineffective, the total effective rate was 96.67%. In the routine acupuncture group, 13 cases were cured and 7 cases were effective. The total effective rate of the treatment group was 70.00g. The difference between the treatment group and the control group was statistically significant (P 0.05), which showed that the total effective rate in the treatment group was higher than that in the control group (P < 0.05). The total effective rate of the treatment group was higher than that of the control group (P < 0.05). After three courses of treatment, the total effective rate of the treatment group was higher than that of the control group. The total PSQI scores of the two groups were 5.07 鹵1.41 鹵8.33 鹵1.56 after three courses of treatment. Compared with the control group, the patients in the treatment group were mainly in sleep time, sleep quality, sleep time, sleep disorder. The differences in daytime dysfunction and sleep efficiency were statistically significant. The difference between the two groups before and after treatment showed that there was no significant difference between the two groups, indicating that the umbilical needle group and routine acupuncture group both improved the heart and kidney disjoint insomnia patients. However, the improvement of TCM syndromes between the two groups was equivalent. (3) after three courses of treatment, the patients in both groups had improved in TCM syndromes, the scores of TCM syndromes were all lower than before, and after the third course of treatment, The scores of TCM syndromes in the two groups were 4.47 鹵1.81 鹵7.07 鹵1.82 respectively. Compared with the control group, the TCM syndromes in the treatment group were mainly characterized by more dreams, upset, amnesia, fatigue, dizziness and headache. The difference between the treatment group and the control group before and after treatment was statistically significant (P 0.01), which indicated that the navel acupuncture plus routine acupuncture group could improve the patients' dreaminess, boredom, forgetfulness and fatigue. The above results show that navel acupuncture combined with routine acupuncture is more effective in treating patients with heart and kidney disjoint insomnia. Conclusion: both navel acupuncture and routine acupuncture can effectively improve the symptoms of patients with heart and kidney disjoint insomnia, and the effect of navel acupuncture plus routine acupuncture group is better than that of routine acupuncture group. Navel needle can improve sleep quality, sleep time, sleep time, sleep efficiency, sleep disorder, daytime dysfunction, dreamy, upset, forgetful, dry mouth, fatigue, dizziness, headache and so on.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 楊躍濤;;交泰丸膏穴位貼敷治療心腎不交型失眠隨機(jī)平行對照研究[J];實(shí)用中醫(yī)內(nèi)科雜志;2016年07期

2 張慧芳;王乃權(quán);;針刺結(jié)合穴位埋線治療失眠癥的臨床觀察[J];浙江中醫(yī)藥大學(xué)學(xué)報(bào);2015年07期

3 章振永;;中沖穴放血配合針刺治療失眠35例[J];浙江中西醫(yī)結(jié)合雜志;2014年12期

4 郭蕓倩;張永光;;臍針配合針刺治療軀體化障礙臨床觀察[J];針灸臨床雜志;2014年06期

5 馮運(yùn)會;曹紅軍;孫皓;李璐紅;李曉芳;;中藥穴位敷貼治療老年失眠癥50例[J];臨床合理用藥雜志;2013年35期

6 陳勤;陳曉軍;周志英;陳利芳;;艾灸背俞穴為主治療慢性失眠的隨機(jī)對照研究[J];中華中醫(yī)藥學(xué)刊;2013年11期

7 陳依靜;鄭建芬;;耳穴壓豆治療2型糖尿病失眠患者54例[J];山東中醫(yī)雜志;2013年04期

8 王貴玲;;耳穴貼壓治療失眠癥臨床觀察[J];上海針灸雜志;2012年10期

9 吳雪蘭;陳琴;劉從秀;;耳針辨證治療腦卒中后失眠40例[J];安徽中醫(yī)學(xué)院學(xué)報(bào);2012年05期

10 張鳳喜;;微創(chuàng)穴位埋線治療失眠療效觀察[J];湖北中醫(yī)雜志;2012年09期

，

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